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ICAR SINONASAL TUMORS
TABLE XXIII.A.3 (Continued)
Clinical endpoints
Study
Year LOE Study Design Study groups
Conclusions
Stevens et al. 1244 2005 3
1. OS 2. EFS
1. Group 1: 5-year OS of 59%, 33% 5-year EFS in cohort treated with induction chemotherapy protocol 2. Group 2: 5-year OS of 65%, 62% 5-year EFS in cohort treated withCRT
Prospective cohort
Group 1: IVA, CEV, IVE (induction) RT if less than CR
( n = 27) in PM-RMS, < 3 years of age
Group 2: IVA or IVA + CEV All received RT
( n = 85) in PM-RMS, ≥ 3 years of age Doses of intrathecal chemotherapy for PM-RMS with meningeal involvement, zero doses versus four versus 13 protocol, all received chemotherapy ( n = 222) in PM-RMS treatment based on response ( n = 51) in PM-RMS stage 3 Induction IVA then IVA if PR or DP if less than PR High-risk PM-RMS, > 5 years of age: same as low-risk except addition of RT after induction High-risk PM-RMS, < 5 years of age: Induction IVA then IVA if PR or DP if less than PR If CR, then continued All received RT Low-risk PM-RMS: chemotherapy. If less than CR, then RT( n = 41) b protocol, all received chemotherapy ( n = 121) in PM-RMS IRSG 3 Risk stratified VAIA, adjuvant ( n = 360) Risk stratified
Raney et al. 1224
2002 3
Prospective cohort
OS
No OS benefit with administration of intrathecal chemotherapy a
Crist et al. 1226
FFS
No change in FFS from previous IRS studies for PM-RMS
2001 3
Prospective cohort
Koscielniak et al. 1247
1999 3
Prospective cohort
EFS
1. 5-year EFS 59% 2. 95% of PM-RMSs were Stage 3
Flamant
1998 3
Prospective cohort
1. OS 2. EFS
1. 5-year OS of 58% for entire PM-RMS cohort 2. There were no low-risk
et al. 1243
PM-RMSs that were completely excised and only 22% were low-risk PM-RMSs
Crist et al. 1232
1995 3
Prospective cohort
PFS
5-year PFS of 69% in cohort of PM-RMS patients
(Continues)
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